Organization Active NPI

Episcopos Pharmacy Trenton LLC

Doing business as Episcopo's Pharmacy

  • Community/Retail Pharmacy
  • Trenton, NJ
National Provider Identifier
1790833960
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EPISCOPOS PHARMACY TRENTON LLC
Doing business as
Episcopo's Pharmacy
Practice address
1125 Chambers St
Trenton, NJ 08610
Phone
(609) 393-3017
Fax
(609) 396-3459
NPI assigned
Jan 6, 2007
Last updated
Dec 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nirav Patel
Title
President
Phone
(609) 393-3017

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RS00438100 NJ
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1125 Chambers St
Trenton, NJ 08610

Mailing address

1125 Chambers St
Trenton, NJ 08610-5801
Phone (609) 393-3017

Other identifiers 2

IdentifierTypeStateIssuer
3100081OtherNJNCPDP
4415108MedicaidNJ

Other names 1

  • EPISCOPO'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180821001133 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 2264781400 Practice locations: Trenton, NJ

National Provider Directory

National Provider Directory

Locations

1125 Chambers St
Trenton, NJ 08610
Phone (609) 393-3017

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1790833960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CHAMBERS ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086105801",
            "telephone_number": "609-393-3017",
            "fax_number": "609-396-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CHAMBERS ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08610",
            "telephone_number": "609-393-3017",
            "fax_number": "609-396-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPOS PHARMACY TRENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-393-3017"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00438100",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3100081",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4415108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPISCOPO'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EPISCOPO'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.